Healthcare Provider Details

I. General information

NPI: 1942360110
Provider Name (Legal Business Name): MONIKA LYNNE POXON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 BONITA AVE
BERKELEY CA
94709-1909
US

IV. Provider business mailing address

PO BOX 20023
OAKLAND CA
94620-0023
US

V. Phone/Fax

Practice location:
  • Phone: 510-526-4765
  • Fax: 510-526-2887
Mailing address:
  • Phone: 510-251-3978
  • Fax: 510-251-3954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 18758
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: